How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $398.11 | Facility | None | $173.78 | $173.78 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $173.78 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $123.03 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $123.03 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $204.17 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $141.25 | $165.96 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $64.57 | $79.43 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $89.13 | $95.50 | $112.20 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $407.38 Typical High $1,000.00 | Facility | None | $234.42 | $407.38 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $190.55 | $316.23 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $107.15 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $134.90 | $199.53 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $151.36 | Professional | None (both parts) | $33.11 | $33.11 | $151.36 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,122.02 | Facility | None | $691.83 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $549.54 | Professional | None (both parts) | $186.21 | $229.09 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $74.13 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $354.81 | Professional | TC · Technical part | $117.49 | $154.88 | $354.81 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 59 · Distinct service | $173.78 | $173.78 | $173.78 |
Where Mississippi sits
The same service costs 6.3 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Mississippi· 30th of 51
$263
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.